Physician Compare National (NPI:1932132958)

HEALTHCARE PROVIDER: RAHUL VAIDYA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932132958
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416952395
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060927000553
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VAIDYA
	Individual professional last name
Provider First Name	RAHUL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VHS PHYSICIANS OF MICHIGAN
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8921289760
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	204
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	261 MACK AVE
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	DETROIT
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	482012417
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230273
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DETROIT RECEIVING HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230104
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HARPER UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230024
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SINAI-GRACE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	230002
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST MARY MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y